Post-traumatic Intraorbital Foreign Object Tangential to the Intact Globe: An Unusual Location

A 26-year-old woman with chronic irritation and infection of left upper eyelid and history of ocular trauma with unknown foreign object(s) was referred to oculoplastic clinic of our hospital. Multiple black micro foreign objects were seen in left upper eyelid skin, skin was edematous, fistula of the skin was present, and the globe was deviated inferiorly. On computerized tomography, multiple intraorbital foreign objects were observed at superior aspect of the orbita. Foreign object, 2 x 1 x 0.5 cm in size, localized tangentially to the globe with convex side facing intact eyeball, was surgically excised. Multiple metallic micro particles were also removed. The patient recovered well from injury within 6 months of surgery. Intraorbital foreign bodies may be mislocated in radiological imaging in trauma patients. Surgeon should always be alert for surprises during surgery on such patients.